NRNP 6566 EXAM
(WALDEN UNI)
QNS & ANS
VERSION 1
2023/2024
, 1. A 42 year old year old women was admitted to the ICU with a severe asthmatic exacerbation. On
rounds today, the patients T is 102.2. Her central IV line site is red, tender, and warm. Your remove
the central line and order blood cultures along with IV cefepime. MRSA has been prevalent in this
ICU. What additional medication should you order? IV vancomycin
2. Which drug should the APRN select to treat a patient with an infected post operative surgical wound
infected with a positive culture result for MRSA? Vancomycin
3. A 24-year-old male is a newly diagnosed type 1 diabetic. He weighs 62 kg and you decide to start
him on insulin therapy because his blood glucose . . . is high and he has ketonuria. His total daily
dose of insulin to start with should be 31 units
4. A 22 year old patient is transitioning from oral agents to insulin. He will be taking 20 units of lantus
at bedtime and regular insulin before meals. What instructions should the NP provide about the
timing and dose of regular insulin? Take 1 unit of regular insulin for each 10 grams of carbohydrate
to be consumed 15 minutes before each meal
5. The NP is managing a male patient with bilateral lower extremity swelling, erythema, and draining
blisters. The patient states the blisters have been there about a week but now there is redness around
the blisters and moving up the leg. He has been having chills and thinks he has been running a
temperature but does not own a thermometer. Vital signs are within normal limits except for an
elevated temperature of 101.1 The patient has no known drug allergies. What medication should the
NP prescribe? IV Cefazolin
6. Which statement is correct about macrolide antibiotics? prolonged QT intervals are an adverse
effect associated with macrolides
(WALDEN UNI)
QNS & ANS
VERSION 1
2023/2024
, 1. A 42 year old year old women was admitted to the ICU with a severe asthmatic exacerbation. On
rounds today, the patients T is 102.2. Her central IV line site is red, tender, and warm. Your remove
the central line and order blood cultures along with IV cefepime. MRSA has been prevalent in this
ICU. What additional medication should you order? IV vancomycin
2. Which drug should the APRN select to treat a patient with an infected post operative surgical wound
infected with a positive culture result for MRSA? Vancomycin
3. A 24-year-old male is a newly diagnosed type 1 diabetic. He weighs 62 kg and you decide to start
him on insulin therapy because his blood glucose . . . is high and he has ketonuria. His total daily
dose of insulin to start with should be 31 units
4. A 22 year old patient is transitioning from oral agents to insulin. He will be taking 20 units of lantus
at bedtime and regular insulin before meals. What instructions should the NP provide about the
timing and dose of regular insulin? Take 1 unit of regular insulin for each 10 grams of carbohydrate
to be consumed 15 minutes before each meal
5. The NP is managing a male patient with bilateral lower extremity swelling, erythema, and draining
blisters. The patient states the blisters have been there about a week but now there is redness around
the blisters and moving up the leg. He has been having chills and thinks he has been running a
temperature but does not own a thermometer. Vital signs are within normal limits except for an
elevated temperature of 101.1 The patient has no known drug allergies. What medication should the
NP prescribe? IV Cefazolin
6. Which statement is correct about macrolide antibiotics? prolonged QT intervals are an adverse
effect associated with macrolides
